Please only use this form if directed to by a member of Craig Road Animal Hospital’s staff as this form is used to authorize us to hospitalize your pet.
I hereby authorize Craig Road Animal Hospital to perform such diagnostic, therapeutic and surgical procedures as described in my signed estimate/treatment plan. The nature of such services has been described to me to my satisfaction and I realize that no guarantee or warranty can ethically or professionally be made regarding outcomes of treatment of medical illnesses.
I am the owner or the authorized agent for the owner of the animal described above, and I have the authority to execute this consent. My signature below certifies that I am over eighteen years of age.
The nature of these operations or procedures has been explained to me and I understand what will be done. I am aware there are no guarantees for successful treatment. I have been encouraged and given the opportunity to discuss any questions I may have regarding my pet’s medical care and my questions have been answered to my satisfaction. I accept that my financial obligations remain regardless of the outcome.
I have read and understand this authorization and hereby accept and agree to the terms of the consent for treatment. By writing your name, you are agreeing to the terms and conditions as stated above.